Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Shan

Individual provider Pharmacist · NPI 1205248762

Jason Shan is a Pharmacist in Riverside, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

11080 Magnolia Ave
Riverside, CA 92505-3047
Phone: (951) 602-4109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 69346 (CA)

Record details

NPI number1205248762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESJune 2, 2014
Mailing address3381 Falcon Ridge Rd, Diamond Bar, CA 91765-3822

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